Basal Cell Carcinoma
Overview
Basal cell carcinoma (BCC) is the most common type of skin cancer in the United States, affecting
more than 800,000 people in the US each year, and occurs more often in individuals with fair skin.
A basal cell carcinoma most commonly affects the face or neck, often near the eyelids or the nose.
The cancerous cells are believed to arise from the innermost layer of the skin, which is made up of
basal cells.
The cause of basal cell carcinoma is believed to be exposure to
UV radiation in sunlight. Consequently,
individuals with greater sun exposure and fair skin are at the greatest risk for basal cell carcinoma.
Individuals with dark skin are at a significantly lower risk for developing basal cell carcinoma,
simply because they have more melanin (pigment) in their skin, which absorbs greater amounts of UV
and reduces its harmful effects on skin cells. But then again, no one is completely immune.
Signs & Symptoms of Basal Cell Carcinoma
Basal cell carcinoma typically appears as a mass of cells, usually near the eyelid (more commonly
the lower eyelid). Often basal cell carcinoma appears as a nodule with a pitted center. In the early
stages, a basal cell carcinoma can be deceptively benign, as they can take on the appearance of a
simple red patch of skin, or an open sore. One of the classic signs of basal cell carcinoma is that
of a sore that doesn't heal.
Detection & Diagnosis of Basal Cell Carcinoma
As with all tumors, there is the potential for basal cell carcinoma to metastasize (spread) and
affect other tissues in the body. Fortunately, more often than not, cases of basal cell carcinoma are
benign and do not spread. Official diagnosis is made by taking a tissue sample of the tumor and
examining it under a microscope.
Basal Cell Carcinoma Treatment
There are two options for removal of a basal cell carcinoma: surgical removal or radiation therapy.
As with all cancers, early detection is critical, so visit your
ophthalmologist or physician if you
detect any suspicious growths on or near your eyelids.
Prevention of Basal Cell Carcinoma
The best way to prevent basal cell carcinoma is to limit your sun exposure. If this is unavoidable
(as is the case for many outdoor workers), ensure that you take all necessary precautions to protect
your skin from harmful
UV radiation: wear sunscreen (and reapply as
recommended!) as well as a hat and sunglasses.
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